SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
FRIEND DAVID

(Last) (First) (Middle)
C/O CARBONITE, INC.
177 HUNTINGTON AVENUE

(Street)
BOSTON MA 02115

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/10/2011
3. Issuer Name and Ticker or Trading Symbol
Carbonite Inc [ CARB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CEO and President
5. If Amendment, Date of Original Filed (Month/Day/Year)
08/10/2011
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 696,314(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (2)(3) 10/02/2018 Common Stock 107,730(4) 1.31 D
Explanation of Responses:
1. 26,931 of these shares were inadvertently included in Table II of the reporting person's orginal Form 3, omitted from Table I of the reporting person's original Form 3, and were also omitted from Table I of four Form 4s filed by the reporting person after his original Form 3 was filed.
2. This option becomes exercisable in 4 equal quarterly installments beginning on November 7, 2011.
3. The corresponding footnote to the reporting person's original Form 3 incorrectly stated that this option was currently exercisable as to 26,931 shares of common stock; this option was exercised for such 26,931 shares of common stock prior to the filing of the reporting person's original Form 3.
4. 26,931 shares of common stock subject to this option were inadvertently included in Table II of the reporting person's orginal Form 3, and were omitted from Table I of the reporting person's original Form 3.
Remarks:
The reporting person's original Form 3 did not reflect his exercise of an option for 26,931 shares of common stock.
/s/ Danielle Sheer, by power of attorney 01/11/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.